| NPI | 1639108244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 2880) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11475) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-10-12 |